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Oct �0 pa, Ol : llp P• 2 <br /> DETERMINING PERMIT FEES <br /> p sAc case���xoos w��=s�,szs.on� s <br /> (SAC CAsagc must accom�any a11 scw�r pamit applicadons uNcss prepaid) <br /> (Orona City SWCI'can dcicrminc if appficable) <br /> (linnt prery�id,a sewer conncetiaa pcMsnit will ooL bc i�aal) C^�' <br /> �Cewct C04oackiiaoi/pi.acn�nscct/Rcp�ir(535.00/Per Stab) !F ' <br /> Pipc sizc inch�:malerial Schd 40 air tested; casl iron <br /> �u <br /> �`Waber Cowection/Di�connect/Rcpai�(535.00/Per Stub) $ , � � � <br /> Pipe si��e�____inchcs;matc�iAl Schd 40 air testcd; copp�r � <br /> I. SUi3TOTA1.afPcrvn.l;Rcqu�stad: a <br /> 2. STA'�'C SURCHARGE $____�._,...,., •�_ <br /> 3. POSTAGE&HANDI.ING(�ly a�►Ma�il,ln Applicat�ons) . S 1.50 <br /> � �� <br /> 4. TpTAI.PEfiMtT H'L�[�(Add Lincs 1-3 Abovc) �S �o : <br /> __ . <br /> AUDIT�ONAL INFORMA'fION—WA"T�R IvfET�R5 " <br /> ■ Wi►1I'LR MRTERS must bc picked up and paid for ot Orono Ciry I�lall,t}�ese are on a sdpm�,�,�• <br /> - Ww7'L+K Mt;TERS muat be sec aaa sea�eo Dy Uroao Wahr De�rtneot(ySZ) Z49-4600, upon <br /> cumpiction of inetcr in9ts�llatiun. <br /> Tl�e uadersigncd hereby applies to the City of Omno for issuanec of;u Cltility Pemait,agrees to do <br />, nll work in strict aocordance witl�thc ordinances of thc City and ihc rcgulations of thc :3i.�ic af <br /> Minnocot�a,a�n,d certif es that s�ll statemients ma this�{,pliwtiori arc,truc and oorrcct. <br /> . <br /> ^ �� • �,,� � � V•� ' -U�. <br /> A�licant: ' � Dato- <br />